Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $27.54 / $51.29	Facility		$15.14	$27.54	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $53.70	Professional		$21.88	$26.30	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $33.11 / $57.54	Facility		$21.88	$33.11	$57.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.88 / $21.88	Professional		$20.89	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.88 / $42.66	Professional		$20.42	$33.88	$42.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $27.54 / $53.70	Facility		$19.05	$27.54	$53.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $39.81	Professional		$21.38	$26.92	$39.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.91 / $35.48	Professional		$18.62	$22.91	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $29.51 / $35.48	Facility		$17.38	$29.51	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.49 / $22.91	Professional		$10.00	$13.49	$22.91